Evidence map›Paper›PMID 26679151›Full record

ArticlePediatric research2016

The myocardial architecture changes in persistent pulmonary hypertension of the newborn in an ovine animal model.

Peter Agger, Satyan Lakshminrusimha, Christoffer Laustsen, Sylvia Gugino, Jesper R Frandsen, Morten Smerup, Robert H Anderson, Vibeke Hjortdal, Robin H Steinhorn

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Impact of intraventricular septal fiber orientation on cardiac electromechanical function.American journal of physiology. Heart and circulatory physiology · 2022
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Assessing Myocardial Architecture: The Challenges and Controversies.Journal of cardiovascular development and disease · 2020
    Review
  9. Cardiac multi-scale investigation of the right and left ventricleCardiovascular diagnosis and therapy · 2020
    Review
  10. Article
  11. Resolving the natural myocardial remodelling brought upon by cardiac contraction; a porcine ex-vivo cardiovascular magnetic resonance study of the left and right ventricle.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    Article
  12. Resolving the True Ventricular Mural Architecture.Journal of cardiovascular development and disease · 2018
    Review
  13. Changes in overall ventricular myocardial architecture in the setting of a porcine animal model of right ventricular dilation.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017
    Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Peter AggerDepartment of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark.
Satyan LakshminrusimhaDivision of Neonatology, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, New York.
Christoffer LaustsenDepartment of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark.
Sylvia GuginoDepartment of Physiology and Biophysics, State University of New York at Buffalo, Buffalo, New York.
Jesper R FrandsenCenter for Functionally Integrative Neuroscience, Aarhus University Hospital, Aarhus, Denmark.
Morten SmerupDepartment of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark.
Robert H AndersonInstitute of Genetic Medicine, University of Newcastle, Newcastle-upon-Tyne, UK.
Vibeke HjortdalDepartment of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark.
Robin H SteinhornDivision of Neonatology, UC Davis Children's Hospital, Sacramento, California.
Aarhus University Hospital · DKUniversity at Buffalo, State University of New York · USNewcastle University · GBUC Davis Children's Hospital · US

Funding

Optimal Oxygenation in Neonatal Lung InjuryR01HD072929 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Satyanarayana Lakshminrusimha · 2012 to 2026
$5.4M
NICHD NIH HHS R01 HD072929PHS HHS L54705
6 · The paper itself

Abstract

backgroundPersistent pulmonary hypertension in the newborn remains a syndrome with high mortality. Knowledge of changes in myocardial architecture in the setting of heart failure in persistent pulmonary hypertension is lacking, and could aid in the explanation of the prevailing high mortality.

methodsPersistent pulmonary hypertension was induced by antenatal ligation of the arterial duct in six ovine fetuses. The hearts were compared ex vivo with five matched control hearts, using diffusion tensor imaging to provide the overall anatomical arrangement, and assessment of the angulations and course of the cardiomyocytes. Fibrosis was assessed with histology.

resultsWe found an overall increase in heart size in pulmonary hypertension, with myocardial thickening confined to the interventricular septum. An increase of 3.5° in angulation of myocyte aggregations was found in hypertensive hearts. In addition, we observed a 2.2% increase in collagen content in the right ventricular free wall. Finally, we found a previously undescribed subepicardial layer of strictly longitudinally oriented cardiomyocytes confined to the right ventricle in all hearts.

conclusionMyocardial fibrosis and possibly changes in angulations of myocytes seem to play a part in the etiology of persistent pulmonary hypertension. Moreover, a new anatomical arrangement of right ventricular mural architecture is described.

Indexed as

Disease Models, AnimalAnimalsAnimals, NewbornHypertension, PulmonaryMyocardiumSheep

Identifiers

PMID26679151
PMCPMC4837009
OpenAlexW2252363749

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.